Influence of cerebral blood flow on the ventilatory response to hypoxia in humans.

The purpose of this study was to quantify the possible reduction in ventilation that could be attributed to changes in cerebral blood flow (CBF) with hypoxia to determine whether it could be of sufficient magnitude to underlie hypoxic ventilatory decline (HVD). Six subjects underwent 20 min of isoca...

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Main Authors: Poulin, M, Robbins, P
Format: Journal article
Language:English
Published: 1998
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author Poulin, M
Robbins, P
author_facet Poulin, M
Robbins, P
author_sort Poulin, M
collection OXFORD
description The purpose of this study was to quantify the possible reduction in ventilation that could be attributed to changes in cerebral blood flow (CBF) with hypoxia to determine whether it could be of sufficient magnitude to underlie hypoxic ventilatory decline (HVD). Six subjects underwent 20 min of isocapnic hypoxia (end-tidal PO2, 50 mmHg). An index of CBF was obtained using transcranial Doppler ultrasound of the middle cerebral artery. The CBF sensitivities to hypoxia and hypercapnia were obtained from the percentage changes in CBF between the last 3 min of the hypoxic or hypercapnic exposure and the 3 min period prior to the exposure. The magnitude of HVD during hypoxia was estimated by fitting a simple model of the ventilatory response to the hypoxic stimulus. The predicted fall in expiratory ventilation (VE) due to a reduction in brain PCO2 generated by the increase in CBF with hypoxia in all subjects was less than the measured magnitude of HVD (33%). Thus, the results from this study suggest that, in awake humans, changes in CBF during acute isocapnic hypoxia are quantitatively insufficient to underlie HVD in humans.
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spelling oxford-uuid:e86162bc-8563-4d50-a7ca-dbc8baa4dddf2022-03-27T10:46:08ZInfluence of cerebral blood flow on the ventilatory response to hypoxia in humans.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:e86162bc-8563-4d50-a7ca-dbc8baa4dddfEnglishSymplectic Elements at Oxford1998Poulin, MRobbins, PThe purpose of this study was to quantify the possible reduction in ventilation that could be attributed to changes in cerebral blood flow (CBF) with hypoxia to determine whether it could be of sufficient magnitude to underlie hypoxic ventilatory decline (HVD). Six subjects underwent 20 min of isocapnic hypoxia (end-tidal PO2, 50 mmHg). An index of CBF was obtained using transcranial Doppler ultrasound of the middle cerebral artery. The CBF sensitivities to hypoxia and hypercapnia were obtained from the percentage changes in CBF between the last 3 min of the hypoxic or hypercapnic exposure and the 3 min period prior to the exposure. The magnitude of HVD during hypoxia was estimated by fitting a simple model of the ventilatory response to the hypoxic stimulus. The predicted fall in expiratory ventilation (VE) due to a reduction in brain PCO2 generated by the increase in CBF with hypoxia in all subjects was less than the measured magnitude of HVD (33%). Thus, the results from this study suggest that, in awake humans, changes in CBF during acute isocapnic hypoxia are quantitatively insufficient to underlie HVD in humans.
spellingShingle Poulin, M
Robbins, P
Influence of cerebral blood flow on the ventilatory response to hypoxia in humans.
title Influence of cerebral blood flow on the ventilatory response to hypoxia in humans.
title_full Influence of cerebral blood flow on the ventilatory response to hypoxia in humans.
title_fullStr Influence of cerebral blood flow on the ventilatory response to hypoxia in humans.
title_full_unstemmed Influence of cerebral blood flow on the ventilatory response to hypoxia in humans.
title_short Influence of cerebral blood flow on the ventilatory response to hypoxia in humans.
title_sort influence of cerebral blood flow on the ventilatory response to hypoxia in humans
work_keys_str_mv AT poulinm influenceofcerebralbloodflowontheventilatoryresponsetohypoxiainhumans
AT robbinsp influenceofcerebralbloodflowontheventilatoryresponsetohypoxiainhumans